RT Journal Article T1 Addressing lung cancer screening eligibility in Spain using 2013 and 2021 US Preventive Service Task Force criteria: cross-sectional study A1 Candal Pedreira, Cristina A1 Ruano Raviña, Alberto A1 Calvo de Juan, Virginia A1 Cobo, Manuel A1 Trigo, José Manuel A1 Carcereny, Enric A1 Cucurull, Marc A1 López Castro, Rafael A1 Solís García, Eduardo A1 Sánchez Gastaldo, Amparo A1 Massutí, Bartomeu A1 Rodríguez Abreu, Delvys A1 Estival, Anna A1 Guirado Risueño, María A1 Pamiés Ramón, María A1 García Campelo, Rosario A1 Alonso Jáudenes, Guillermo A1 Camps, Carlos A1 Barco Morillo, Edel del A1 González Ojea, Clara A1 Dómine, Manuel A1 Sánchez Hernández, Alfredo A1 Bosch Barrera, Joaquím A1 Sala González, María Ángeles A1 Provencio, Mariano K1 Lung cancer K1 Screening AB ObjectivesThe aim of the study was to ascertain the percentage of Spanish lung cancer cases that would fulfil the lung cancer screening inclusion criteria recommended by the United States Preventive Service Task Force (USPSTF) in 2013 and 2021.MethodsA cross-sectional study was carried out. All lung cancer cases registered in the Thoracic Tumor Registry with data on date of birth, date of diagnosis, smoking habit, number of pack-years and time elapsed since smoking cessation were included.ResultsThe study included 15 006 patients diagnosed with lung cancer in Spain between 2016 and 2022. Eligibility to participate in screening increased from 53.7% to 63.5% (an increase of 9.8%) according to the 2013 and 2021 recommendations, respectively. The percentage of eligible men rose by 9.2 percentage points with the 2021 versus 2013 recommendations, whereas this rise was 11.5 percentage points in women. Under the 2021 recommendations, 36.6% of women and 5.3% of men would not have fulfilled the screening inclusion criteria due to being never-smokers; 14.9% of women and 11.0% of men would not have fulfilled the age criterion; and 27.0% of ex-smokers among women compared to 35.6% among men would not have been eligible due to >15 years having elapsed since smoking cessation.ConclusionsIn Spain, over one-third of lung cancer cases could not be detected through screening, by virtue of not meeting the most recent inclusion criteria stated by the USPSTF. The degree of fulfilment in a potential nationwide screening programme should be analysed, with the aim of establishing inclusion criteria in line with each country’s context PB European Respiratory Society SN 2312-0541 YR 2023 FD 2023-12-04 LK https://hdl.handle.net/10347/44619 UL https://hdl.handle.net/10347/44619 LA eng NO Candal-Pedreira C, Ruano-Ravina A, de Juan VC, Cobo M, Trigo JM, Carcereny E, et al. Addressing lung cancer screening eligibility in Spain using 2013 and 2021 US Preventive Service Task Force criteria: cross-sectional study. ERJ Open Research. 2023;9(6). DS Minerva RD 4 may 2026